Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kjersten Lydia McKinniss, ATC

Individual provider Athletic Trainer · NPI 1609246123

MS. Kjersten Lydia McKinniss, ATC is an Athletic Trainer in Ithaca, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

310 Taughannock Blvd
Ithaca, NY 14850-3251
Phone: (616) 395-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 003601 (NY)

Record details

NPI number1609246123
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 26, 2015
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Other providers in Ithaca